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Patients who have been bedridden for a long time, caused by the weight and friction of the body, are chronic sores and ulcers with localized superficial damage and long-lasting sores as the main manifestations.
1. Turning over frequently: The implementation of effective turning over to intermittently relieve local compression is the most effective and critical measure to prevent pressure ulcers. Generally, bedridden patients turn over every 1-2 hours, and if they find that ** turns red, they should turn over once an hour, alternately lie on the left and right sides, lie flat and prone positions, and use soft pillows, air pillows, water pillows, air washers, sponge rings and other pads on the bone protrusions, which can play a role in local suspension and reduce pressure.
Patients in wheelchairs can put a sponge cushion on the soles of their feet, a soft pillow (cushion) under the buttocks or a traumatic anti-decubitus cushion, change the center of gravity every 15-20 minutes, and prevent the patient from sitting in a wheelchair for a long time (more than 2 hours), and if possible, let the patient stand and walk for 10 minutes. 2. Correct massage: When lying flat, put your hands under your buttocks, and your palms can go down and up.
Feel the temperature and stress and massage for 5 minutes, repeating every 20 minutes. When lying on the left and right sides, the side should be in place, the half flat and half side (oblique side) should be supported by a soft pillow, and 50% safflower alcohol can be poured into the palm of the face for the normal pressure part of the color, temperature and texture, and the two sides should be massaged lightly for 5-10 minutes; If you find that the ** becomes red, it is not suitable to massage, you can suspend the red part, and the ** color can return to normal after 30-40 minutes of pressure relief. **Persistent redness, cyanosis, and massage is not suitable to avoid aggravating the injury.
3. Requirements for mattresses and sheets: the mattress of bedridden patients should be breathable, moderately soft and hard, and have good water absorption, and air mattresses (ovate and socket shape is better) and high-density sponge mattresses can be used, and the sheets should be pure cotton, and a cotton bath towel can be laid on the sheets for easy replacement. Keep the sheets flat, dry, clean, no wrinkles, no debris, no debris; The air cushion bed should be moderately soft and hard, and over-inflation can increase the pressure.
When changing bed linen for a patient, it should be prevented from dragging, pulling, and pulling to prevent damage**.
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First of all, infection should be prevented, if it is only a small blister, you can apply purple potion, for large blisters, you should release the liquid in the bubble according to aseptic operation, apply a disinfectant dressing, if the ** has just appeared on the ulcer surface, it should also be wrapped with a disinfectant dressing. For wounds with large ulcerations, they should be kept dry and clean, and can be baked with a 100-watt bulb every day.
l 2 times, the lamp distance is about ** cm, it is advisable to have a soft sense of warmth, and avoid the lamp distance is too close, the temperature is too high. Bake for 20-30 minutes each time. At present, the international use of Australian medical wool skin anti-decubitus pads for the prevention of bedsores, by the Australian Federal Academy of Sciences, yellow
Erathco, the Australian medical community and the Australian Bureau of Standards jointly developed a series of medical wool skin anti-decubitus pad products. In 1997, the national standard was promulgated. It has good elasticity, high density, and can reduce 25% of local pressure; It has good water absorption and can absorb water of its own weight 1 3; Highly elastic fibers enhance air flow; The gross height is 30-35mm, and the comfort is just right; It can be machine washed, hand washed or washed with high temperature water, and can meet international disinfection standards; There are many types and can be used selectively; Easy to carry.
In 2000, the first clinical trial of Yale's Wool Skin Anti-Decubitus Pads was completed at Fremantle Hospital and Hollywood Hospital, and the results showed that Yale's Wool Skin Cover is a simple, low-cost, easy-to-use product that can be used by patients in hospital beds, chairs and trolleys who are at risk of developing iatrogenic bedsores unlike other supporting surfaces (e.g. foam or fibre filled mattresses). Sheepskins do not interfere with the care of patients, their longevity has been shown to be washed at least 50 times, and any damage can be easily identified.
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Anti-decubitus mattress adopts the most advanced physiological and kinetic principles in the world, and is a high-tech medical product forged from imported materials, with soft texture, good hand feel, sufficient thickness, and its performance will not change at various temperatures. It has passed the strict review of the national food and drug supervision and administration department to meet the production and clinical application standards.
The main functions of the anti-decubitus mattress are: 1. Regularly inflate and deflate the two air bags in rotation, so that the implantation part of the body of the bedridden person is constantly changing;
2. It not only plays the role of artificial massage, but also promotes blood circulation and prevents muscle atrophy;
3. Work continuously without manual intervention.
Anti-decubitus mattresses are still a good physiotherapy effect for the elderly who have been bedridden for a long time and patients who have been bedridden due to accidents or diseases.
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Anti-decubitus mattress is a mattress for patients or the elderly who have been bedridden for a long time to prevent them from developing bedsores. In medicine, it is said that the reason for pressure sores is that the surface of the human body is continuously compressed for a long time, which causes tissue ischemia and hypoxia, and the tissue may produce necrosis and ulceration. The use of anti-decubitus mattresses can disperse the body pressure of long-term bedridden patients**, thereby reducing local pressure and achieving the effect of preventing decubitus.
Anti-decubitus mattresses are divided into static and air mattresses, which are called anti-decubitus air mattresses, anti-decubitus air mattresses, anti-decubitus mattresses and static anti-decubitus mattresses, sponge anti-decubitus mattresses, gel anti-decubitus mattresses, etc., and the different names of their names are mainly due to the different mattress materials, principles, and parameters.
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